Quality Improvement Initiative to Improve Human Papillomavirus Vaccine Initiation at 9 Years of Age.
Acad Pediatr
; 18(7): 769-775, 2018.
Article
em En
| MEDLINE
| ID: mdl-29842924
ABSTRACT
OBJECTIVE:
Adolescent human papillomavirus (HPV) vaccine rates remain low. Early vaccination may improve the efficacy of the vaccine and immunization rates; however, clinicians have not routinely made a strong recommendation for younger adolescents. This study assessed the feasibility of routine vaccination at 9 years of age.METHODS:
Three sequential quality improvement (QI) interventions were implemented to shift the initiation of the HPV vaccine to 9 years of age in a primary care network in low-income neighborhoods in Columbus, Ohio. The first intervention changed the electronic medical record alert for the HPV vaccine from 11 to 9 years of age and focused on cancer prevention when discussing the vaccine with families. The second intervention was formation of an HPV QI team. The third intervention was a clinic incentive for HPV captured opportunity rates. Immunization rates were monitored using statistical process control charts to compare the HPV immunization rate in a sample of 9- and 10-year-old children with a sample of 11- and 12-year-old children.RESULTS:
The percentage of patients receiving an HPV vaccine before 11 years increased from 4.6% to 35.7% during the 6 months after the QI initiative began and to 60.8% 18 months after the project began. In comparison, the HPV vaccination rate in the sample of 11- and 12-year-olds increased from 78.7% to 82.8% 18 months later.CONCLUSIONS:
This QI project used multiple interventions to increase HPV vaccination at 9 years of age in a large primary care network serving a diverse low-income population.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
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Neoplasias Orofaríngeas
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Neoplasias Urogenitais
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Sistemas de Apoio a Decisões Clínicas
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Infecções por Papillomavirus
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Cobertura Vacinal
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Vacinas contra Papillomavirus
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article